Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891859112 Individual Practitioner Male Practitioner

Dr. Bryan D. Johnson , DDS

Dentist • Mankato, MN

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Johnson, DDS is a registered healthcare professional specializing in Dentist in Mankato, MN. Practice services are available at 1025 MARSH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1025 Marsh St

Mankato, MN 560014752

Telephone 5076254031
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mankato, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
25 Specialists

Practicing in Mankato, MN (1863 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-31
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN 9815

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

516 Main St.

Madison Lake, MN 56063

Phone: 5072433747

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kristin Clifford , CNP

Nurse Practitioner

NPI 1003508318

Certified Nurse Practitioner

Elizabeth Cumberland , NP

Nurse Practitioner - Family

NPI 1013359108

Nurse Practitioner

Omar Ferrer , ARNP

Nurse Practitioner

NPI 1013576594

Advanced Registered Nurse Practitioner

Sharon Brandt , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013989169

Certified Registered Nurse Anesthetist

Dr. Ripudamanjit Singh , MD

Internal Medicine - Interventional Cardiology

NPI 1013993930

Doctor of Medicine (M.D.)

NPI 1023019734

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location February 09, 2021

Registered at 1025 MARSH ST, MANKATO, MN 560014752 (Tel: 5076254031)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 516 MAIN ST., MADISON LAKE, MN 56063 (Tel: 5072433747)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 458, 516 MAIN ST., MADISON LAKE, MN 560630458 (Tel: 5072433747)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRYAN JOHNSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #9815 in MN)

🟢
Initial NPI Registration & Enumeration December 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891859112
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2006
Last Update: January 31, 2024
Sole Proprietor: No

Mailing Address

Po Box 458, 516 Main St.

Madison Lake, MN 560630458

Phone: 5072433747

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.